title: [Onset of myasthenia gravis in primary care. Presentation of a case].
abstract: Myasthenia gravis is an autoimmune disorder of neuromuscular transmission involving the production of autoantibodies directed against skeletal muscle receptors, in most cases of acetylcholine. Clinically it is characterized by the appearance of muscle weakness after prolonged activity, which tends to recover after a period of rest, or administration of acetylcholinesterase inhibitors. It is a relatively rare disease, although the prevalence has increased by improved diagnosis and increased longevity of the population. The diagnosis can be based on evidence after it is suspected using pharmacological, immunological or electrophysiology tests. Treatment can be divided into: symptomatic, short term and long term. We report the case of a patient who complained of diplopia, this muscle weakness being the most common initial symptom of the disease.
authors.affiliation: Centro de Salud Dr. Guigou, Tenerife, España. Electronic address: maralvarezcordoves@hotmail.com.
authors.forename: M M
authors.initials: MM
authors.lastname: Álvarez-Cordovés
authors.forename: P G
authors.initials: PG
authors.lastname: Mirpuri-Mirpuri
authors.forename: A
authors.initials: A
authors.lastname: Pérez-Monje
mesh_terms: D001323:Autoantibodies; D006801:Humans; D009157:Myasthenia Gravis; D011320:Primary Health Care
chemical_list: D001323:Autoantibodies
keywords: Acetilcolina; Acetylcholine; Autoantibodies; Autoanticuerpos; Miastenia gravis; Myasthenia gravis